WQ0038175_Sewer Extension Modification_20170605

PAY
State of North Carolina
DWR
Department of Environmental Quality
Division of Water Resources
15A NCAC 02T .0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
3111A3113AVJ
Application Number: (to be completed by DWR) SOW)m
All items must be completed or the application will be returned
I. APPLICANT INFORMATION: Lloz 90 Nnr
1. Applicant's name: City of Lumberton (company, municipality, HOA, utility, etc.) HNI/030
2. Applicant type: ❑ Individual ElCorporation ElGeneral Partnership ElPrivately-6(nW P1IiE:W, ity
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Wayne Horne per 13 \ NC.�C:_i _' (�.i k) b
Title: City Maganger RECEIVEMCDEUDWR
4. Applicant's mailing address: P.O. Box 1388 MAY 2 2.2017
City: Lumberton State: NC Zip: 28359-
5. Applicant's contact information: Water duality
Phone number: 910) 671-3806 Email Address: Permitting Section
II. PROJECT INFORMATION:
1. Project name: Sewer Extension To Serve Sanderson Farms Hatchery
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0038175 and issued date: January 25, 2015
� N H
'y CITY OF LUMBERTON
GENERAL ACCOUNT
PO BOX 1388
LUMBERTON, INC 28359
FOUR HUNDRED EIGHTY AND XX / 100
TO THE
ORDER NC DEPT OF ENVIRONMENT AND
OF NATURAL RESOURCES
DIVISION OF WATER QUALITY
RALEIGH, NC 27699-1628
l9
FkA South Bank
LUMBERTON, NC 28M
66-7162/2531
&T5/2017
19139
19139
CITY MANAGER
- J FINANCE DIRECTOR
ORfPED S N
� • a •_ a f
1. Permit Number(s): WQ0034639Modification Downstream (Receiving) Sewer Size: 18 inch
System Wide- Collection Svstent Pcrrltii �umbzrL�if a �licahlz): WQCS00024
Owner Name(s): City of Lumberton
n
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zl
FORM: FTA 04-16
Page 1 of 5

RECEIVED
DEQ/DWR
JUN 0 5 2017 State of North Carolina
Department of Environmental Quality
DWR 15 Q zz� 330p0p FF Division of Water Resources
�}`(FTTEV1LlNL00FFICE ST TRACK SEWER SYSTEM EXTENSION APPLICATION
DivLsion of Water Reso FTA 04-16 & SUPPORTING DOCUMENTATION
Application Number: g%(to be completed by DWR)
All items must be completed or the application will be returned
I. APPLICANT INFORMATION:
1. Applicant's name: City of Lumberton (company, municipality, HOA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation ❑ General Partnership
El Privately -Owned Public Utility
❑ Federal ❑ State/County ® Municipal ❑ Other
3. Signature authority's name: Wayne Horne per ISA NCAC 02r .01061b)
Title: City Magganger RECEIVED/WDEWWR
4. Applicant's mailing address: P.O. Box 1388
City: Lumberton State: NC Zip: 28359-_ MAY 2 2.2017
5. Applicant's contact information: Water Quality
Phone number: [phone] Email Address: Permitting Section
II. PROJECT INFORMATION:
L Project name: Sewer Extension To Serve Sanderson Farms Hatchery
2. Application/Project status: ❑ Proposed (New Permit) ® Existing Permit/Project
If a modification, provide the existing permit number: WQ0038175 and issued date: January 25, 2015
If new construction but part of a master plan, provide the existing permit number: WQ00
3. County where project is located: Robeson
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.6273' Longitude:-78.9737'
5. Parcel ID (if applicable):
(or Parcel ID to closest downstream sewer)
III. CONSULTANT INFORMATION:
1. Professional Engineer: Samuel R. Noble, Jr. License Number: 10969
Firm: Koonce, Noble & Associates, Inc.
Mailing address: 208 East 5`h Street
City: Lumberton State: NC Zip: 28358-
Phone number: [phone] Email Address: snob le2[cDbellsouth.net
IV. WASTEWATER TREATMENT FACILITY (WWTF) INFORMATION:
1. Facility Name: Lumberton Waste Water Plant
Owner Name: City of Lumberton
Permit Number: NCO024571
V. RECEIVING DOWNSTREAM SEWER INFORMATION (if different than WWTF):
1. Permit Number(s): WQ0034639Modification Downstream (Receiving) Sewer Size: 18 inch
System Wide Collection System Pcrntit Numberjs�LFapplic.able)): WQCS00024
Owner Name(s): City of Lumberton
FORM: FTA 04-16 Pagel of 5

VI. GENERAL REQUIREMENTS
1. If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
❑ Yes ❑No ®N/A
2. If the Applicant is a Developer of lots to be sold, has a Develo er's Operational Aareenien( F_ORIV _ Dt_ ,� been attached?
❑ Yes ❑No ®N/A
3. If the Applicant is a l foine.i'rnpc:rtti f 3\'%q r' \.vac► ihonhas in Ors rational Agreement (FOR`1. 110A, been attached?
❑ Yes [:]No ®N/A
4. Origin of wastewater: (check all that apply):
® Residential Owned ® Retail (stores, centers, malls) ❑ Car Wash
❑ Residential Leased ❑ Retail with food preparation/service ❑ Hotel and/or Motels
❑ School / preschool / day care ❑ Medical / dental / veterinary facilities ❑ Swimming Pool /Clubhouse
❑ Food and drink facilities ❑ Church ❑ Swimming Pooffilter Backwash
® Businesses / offices / factories ❑ Nursing Home ® Other (Explain in Attachment)
5. Nature of wastewater: 13 % Domestic/Commercial % Commercial
87 % Industrial (See I iA NCAC 021' .0103(20i)
�Is there a Pretreatment Program in effect? ® Yes ❑ No
6. Has a flow reduction been approved under 15A NCAC 0? f .(Li 1_4(t)' ❑ Yes ® No
➢ If yes, provide a copy of flow reduction approval letter
7. Summarize wastewater generated by project:
Establishment Type (see 112Td0l 14(t))
Daily Design Flow a.n
No. of Units
Flow
Sanderson Farms Hatchery
gal/
15,000 GPD
Commercial
25 gal/employee
12
800 GPD
Residential
360 gal/Residence
4
1,440 GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
17,240 GPD
a See 1 �AC'AC 021'__01 lib (Jl. (ell ,_atid,.�)_C_'1 for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use
areas; and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals
as defined in G.S. 42A-4).
b Per 15A NCAC 02T .0114(c), design flow rates for establishments not identified [in table 15A NCAC 02T'.0114] shall
be determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
8. Wastewater generated by project: 17,240 GPD (per 15,.% NCAC 02T_01 14)
➢ Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
❑ Pump Station or Gravity Sewer where flow will be permitted in subsequent permits that connect to this line
❑ Flow has already been allocated in Permit Number:
❑ Rehabilitation or replacement of existing sewer with no new flow expected
❑ Other (Explain):
FORM: FTA 04-16 Page 2 of 5

V11. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - i)_' [ .it?ii= & �IDC' t�:ravit� �ewer��:
1. Summarize gravity sewer to be permitted:
Size (inches) Length (feet) Material
12 3,070 PVC
8 3,115 PVC
➢ Section II & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
➢ Section III contains information related to minimum slopes for gravity sewer(s)
➢ Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
VIII. PUMP STATION DESIGN CRITERIA (If Applicable) — 02T .030& NIDC (Puma Stations,"Force Mains):
COMPLETE FOR EACH PUMP STATION INCLUDED IN THIS PROJECT
1. Pump station number or name:
2. Approximate Coordinates (Decimal Degrees): Latitude: Longitude: - °
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) Length (feet) Material
6. Power reliability in accordance with I A NCAC 02T .0305(h)(l):
❑ Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(1)(B);
➢ Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
➢ Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
❑ Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(1)(C)
or
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T .0305(h)(1)(C):
➢ It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
➢ If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations'
storage capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be
provided in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

IX. SETBACKS & SEPARATIONS - (02B .0200 & 15A NCAC 02T .0305(f)):
1. Does the project comply with all separations found in t5.\_rCAC 0' f _t1 it tt�� ' ®Yes ❑ No
➢ 15A NCAC 02T.0305(f) contains minimum separations that shall be provided for sewer cv.crPm.v
Setback Parameter*
Separation Required
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
**Any private or public water supply source, including any wells, WS-I waters of Class I or
Class II impounded reservoirs used as a source of drinking water
100 feet
**Waters classified WS (except WS-I or WS-V), B, SA, ORW, HQW, or SB from normal
high water (or tide elevation) and wetlands (see item IX.2)
50 feet
**Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
Top slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
➢ 15A NCAC 02_r.0 305 contains alternatives where separations in 02'1.0305(t� cannot be achieved.
➢ **Stream classifications can be identified using the Division's NC Surface Water Classification,. web a ge
➢ If noncompliance with 02T.i13U5 t or see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) ® Yes [:]No ❑ N/A
➢ See the Division's draft separation requirements for situations where separation cannot be meet
➢ No variance is required if the alternative design criteria specified is utilized in design and construction
➢ As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per I SA NCAC 0_'B .020(:? ❑ Yes ❑ No ® N/A
➢ This would include Trout Buffered Streams per 15A NC_\C_L13.020_
4. Does the project require coverage/authorization under a 404 Nationwide or ❑ Yes ® No
individual permits or 401 Water Quality Certifications?
➢ Information can be obtained from the 4401 & Buftc r P rmittin_ Branch
5. Does project comply with 15A NCAC 0?'fAl05c}(h) (additional perm its/ certifications)? ® Yes ❑ No
Per I5A NCAC 02.TA I05;LcH ), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent permits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 021'.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
[-]Yes ® No ❑ N/A
➢ If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
High priority lines shall be inspected by the permittee or its representative at least once every six -months and
inspections documented per 15A NCAC 02T.0403(a)(5) or the permitee's individual System -Wide Collection permit.
FORM: FTA 04-16 Page 4 of 5

X. CERTIFICATIONS:
1. Does the submitted system comply with _i >;A NC'AC 02T, the Minimum Design Criteria for the Permitting of Pa_tilp Stations
and _(f.Ii t vgrswin i and the (i ravity Sewer Minimun► De:aly+n Criteria (latest version! as applicable?
❑ Yes ® No
If No, complete and submit the Variance/Alternative Design Request application (VADC 10-14) and supporting documents
for review. Approval of the request is required prior to submittal of the Fast Track Application and supporting
dncuments
2. Professional Engineer's Certification:
(Professional Engineer's rt/ame from Application Item III.1.)
attest that this application for
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track
Permitting of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain
portions of this submittal package, inclusion of these materials under my signature and seal signifies that I have reviewed this
material and have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.6B, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation.
North Carolina Professional Engineer's seal, signature, and date:
3. Applicant's Certification per 15A NCAC 02T .0106(b):
(Signature Authority's name & Yule from Applicd4ion Item I.3.)
:........................................................................................
.A ,� •as..aWv �, r
it
A. N a,B� ,
........ �.......................
Vo
attest that this application for
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a
condition of this permit be violated. I also understand that if all required parts of this application package are not completed
and that if all required supporting information and attachments are not included, this application package will be returned to
me as incomplete.
NOTE — In accordance with General Statutes 14.3-' 1 3,0A and 143-? 11 >.63, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000 as well as civil penalties up to $25,000 per violation.
Date:, 5
FORM: FTA 04-16 Page 5 of 5

State of North Carolina
Department of Environment and Natural Resources
Division of Water Resources
r Y_, Flow Tracking/Acceptance for Sewer Extension Applications
(FTSE 08-13)
Project Applicant Name: City of Lumberton
Project Name for which flow is being requested: Sewer Ext,to Serve Sanderson Farms
Vlore than one FTSE may be required for a single project if the owner of the WWTP is not responsible for all pump
stations along the route of the proposed wastewater flow,
I. Complete this section only if you are the owner of the wastewater treatment plant.
a. WWTP Facility Name: City of Lumberton
b. WWTP Facility Permit #: NCO024571
All flows are in MGD
c. WWTP facility's permitted flow 20
d. Estimated obligated flow not yet tributary to the WWTP 1.0
e. WWTP facility's actual avg. flow 6.0
f. Total flow for this specific request 0.1724
g. Total actual and obligated flows to the facility 7.0
h. Percent of permitted flow used 0.35
II. Complete this section for each pump station you are responsible for along the route of this
proposed wastewater flow.
List pump stations located between the project connection point and the WWTP:
(A)
(B)
(C)
(D)=(B+C)
(E)=(A-D)
Design
Obligated,
Pump
Average Daily
Approx.
Not Yet
Total Current
Station
Firm
Flow**
Current Avg.
Tributary
Flow Plus
(Name or
Capacity,*
(Firm / p0,
Daily Flow,
Daily Flow,
Obligated
Available
Number)
MGD
MGD
MGD
MGD
Flow
Capacity***
Harill Road
2.5
1.0
0.5
0.1724
0.6724
0.3276
* The Firm Capacity of any pump station is defined as the maximum pumped flow that
can be achieved with the largest pump taken out of service.
** Design Average Daily Flow is the firm capacity of the pump station divided by a peaking
factor (pf) not less than 2.5.
** A Planning Assessment Addendum shall be attached for each pump station located
between the project connection point and the WWTP where the Available Capacity is < 0.
Page 1 of 6
FTSE 08-13

III. Certification Statement:
I Robert P. Armstrong, Jr. certify to the best of my knowledge that the addition of
the volume of wastewater to be permitted in this project has been evaluated along the route to the
receiving wastewater treatment facility and that the flow from this project is not anticipated to
cause any capacity related sanitary sewer overflows or overburden any downstream pump station
en route to the receiving treatment plant under normal circumstances, given the implementation
of the planned improvements identified in the planning assessment where applicable. This
analysis has been performed in accordance with local established policies and procedures using
the best available data. This certification applies to those items listed above in Sections I and II
plus all attached planning assessment addendums for which I am the responsible party.
Signature of this form indicates acceptance of this wastewater flow.
Official Signature
-30.isc,
Date
Page 2 of 6
FTSE 08-13

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SITE: LUMBERTON SEWER EXTENSION C O O N C E NOBLE 208 EAST 5th STREET
P.O. BOX 1027
SOURCE: USGS QUADRANGLE �+ LUMBERTON, NC 28359
DATE: 1986 G�c A S S O C I AT E S 9 I N C I FAXj9l0) 7 839378
SCALE: V = 2,000' REVISED 4-2-17 EMAIL -KNAen ' eerieg@��
TO SERVE SANDERSON FARMS HATCHERY CONSULTING ENGINEERS Lic.No. F-0103

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SITE: LUMBERTON SEWER EXTENSION 208 EAST 5th STREET
SOURCE: CITY OF LUMBERTON KOONCE, NOBLE P.O. BOX 1027
LUMBERTON, NC 28359
DATE: 2015 [phone]
SCALE: V = 15 00' REVISED 4-2-17 & AsSOCIATES, INC, ) - 78
EN/WL - KNAengineering(&,attmet
TO SERVE SANDERSON FARMS HATCHERY C13NSULTING ENGINEERS Lic. No.: F-0103

State of North Carolina
DWR
Department of Environment and Natural Resources
Division of Water Resources
Division of Water Resources Watershed Classification Attachment (WSCAS 01-15)
Along with this form, submit a color copy of a USGS Topographic Map to identify the project area and
waterbodies. Each map or maps must show the location of the sewer system and include location identifiers
where the system traverses over or near waterbodies. The map should have location ID's for each different
waterbody and corresponding classifications should be recorded.
Include the completed form and map portions with the permit application for submittal to the appropriate review
agency. A list of the Division's regional offices, their county coverage, and contact information can be obtained
from: http://oortal.ncdenr.org/web/wq/home/ro
Location ID Name of Waterbody' River Waterbody Waterbody
Basin Index No. Classification
1 Meadow Branch Lumber 14-12-6-2 C;Sw
1 If unnamed, indicate "unnamed tributary to X", where X is the named waterbody to which the unnamed tributary joins.

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SITE: LUMBERTON SEWER EXTENSION 208 EAST Sth STREET
KoONCEI N013LE P.O. BOX 1027
SOURCE: USGS QUADRANGLE LUMBERTON, NC 28359
DATE: 1986 [phone]
& AsSOCIATES, INCB FAX [phone]
SCALE: V= 2,000' REVISED 4-2-17 EMAIL - KNAen&cering@,amm
TO SERVE SANDERSON FARMS HATCHERY CONSULTING ENGINEERS Lie. No.: F-0 103